| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.32 | $0.34 | $0.86 | |
Asuris Northwest Health
| Facility | $1.37 | $2.70 | $100.00 | |
Asuris Northwest Health
| Professional | $1.07 | $1.07 | $1.14 | |
Cigna
| Professional | $0.42 | $0.42 | $0.42 | |
Pacific Source
| Facility | $0.49 | $0.80 | $79,999.20 | |
Premera BCBS
| Facility | $1.37 | $1.86 | $2.70 |